Background A 2018 review into continuity of care with doctors in primary and secondary
care concluded that mortality rates are lower with higher continuity of care. Aim This …

The modern patient safety movement began in the last few years of the 20th century and has
gained momentum through the first two decades of the new century. Major reports from the …

Background Triage and clinical consultations increasingly occur remotely. We aimed to
learn why safety incidents occur in remote encounters and how to prevent them. Setting and …

Background Transitions between healthcare settings are vulnerable points for patients. Aim
To identify key threats to safe patient transitions from hospital to primary care settings …

Introduction Recognizing the values and norms significant to healthcare organizations
(Safety Culture) are the prerequisites for safety and quality care. Understanding the safety …

Objective To estimate the incidence of avoidable significant harm in primary care in
England; describe and classify the associated patient safety incidents and generate …

Primary care lags behind secondary care in the reporting of, and learning from, incidents
that put patient safety at risk. In primary care, there is no universally agreed approach to …

Background The UK performs poorly relative to other economically developed countries on
numerous indicators of care quality for children. The contribution of iatrogenic harm to these …

PURPOSE A culture of blame and fear of retribution are recognized barriers to reporting
patient safety incidents. The extent of blame attribution in safety incident reports, which may …

Many hospitals continue to use incident reporting systems (IRSs) as their primary patient
safety data source. The information IRSs collect on the frequency of harm to patients …